TYKEISHA RENEE JORDAN CIM NPI 1508758996

NPI Information

  • NPI: 1508758996
  • Provider Name: TYKEISHA RENEE JORDAN, CIM
  • Classification: Midwife, Lay - 175M00000X
  • Entity Type: Individual
  • Address: 13702 COURSEY BLVD STE 5A
    BATON ROUGE, LA
    ZIP 70817
  • Phone: (225) 678-0492

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NPI Details

Tykeisha Renee Jordan, CIM is a midwife lay in Baton Rouge, LA. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. Tykeisha Renee Jordan, CIM NPI is 1508758996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13702 COURSEY BLVD STE 5A
BATON ROUGE, LA
ZIP 70817-370
Phone: (225) 678-0492

The enumeration date for this NPI number is 7/18/2025 and was last updated on 7/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174N00000XLactation Consultant, Non-RNNo
2374J00000XDoulaNo
3175M00000XMidwife, LayLOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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